Individual
DR. ILANA BLATT-EISENGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
591 NORTH AVE UNIT 51A-A, WAKEFIELD, MA 01880-1647
(781) 208-0780
Mailing address
591 NORTH AVE UNIT 51A-A, WAKEFIELD, MA 01880-1647
(781) 208-0780
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
9344
MA
Other
Enumeration date
10/08/2009
Last updated
11/13/2023
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